Forms of Acne Treatment Include: Laser resurfacing, the laser removes the damaged top layer of skin and tightens the middle layer, leaving skin smoother. Dermabrasion, which utilizes a rotating wire brush or spinning diamond instrument to wear down the surface of the skin. As the skin heals, a new, smoother layer replaces the abraded skin. Fractional laser therapy is a deeper level of treatment than laser resurfacing or dermabrasion. Fractional laser therapy doesn't wound the top layer of tissue making for a more rapid healing process.